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Individual
KENTON K ERB
Active
Individual
KENTON K ERB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01408
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002091
MEDICARE PTAN
KS
05
—
200673790A
—
KS
Enumeration date
09/09/2010
Last updated
09/10/2026
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